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机器人辅助腹腔镜前列腺癌根治术后性功能恢复的研究进展
引用本文:王星,靳通通,吴王剑,吕海迪,周逢海. 机器人辅助腹腔镜前列腺癌根治术后性功能恢复的研究进展[J]. 机器人外科学杂志(中英文), 2022, 3(3): 194-200. DOI: 10.12180/j.issn.2096-7721.2022.03.005
作者姓名:王星  靳通通  吴王剑  吕海迪  周逢海
作者单位:甘肃省人民医院泌尿外科 甘肃 兰州 730000;甘肃中医药大学第一临床医学院 甘肃 兰州 730000,甘肃省人民医院泌尿外科 甘肃 兰州 730000;兰州大学第一临床医学院 甘肃 兰州 730000,甘肃省人民医院泌尿外科 甘肃 兰州 730000
基金项目:甘肃省人民医院院内科研基金项目(18GSSY1-5)。
摘    要:前列腺癌(Prostate cancer,PCa)现已成为老年男性常见的恶性肿瘤之一,严重威胁老年男性的生命健康。目前,前列腺癌根治术(Radical prostatectomy,RP)仍为局部前列腺癌的主要治疗手段。因受手术创伤及围手术期等因素影响,术后往往会出现明显的性功能障碍,主要表现为患者勃起功能障碍(Erectile dysfunction,ED),导致患者生活质量下降。近年来,机器人辅助腹腔镜前列腺癌根治术(Robot-assisted laparoscopic radical prostatectomy,RALP)在前列腺癌根治方面成效显著,不但降低了患者术后肿瘤复发率且术后性功能恢复明显。本文就机器人辅助腹腔镜前列腺癌根治术后性功能恢复做一综述,为前列腺癌患者术后性功能的恢复带来新的诊疗思路。

关 键 词:手术机器人  腹腔镜  前列腺癌根治术  勃起功能障碍  阴茎康复

Research progress on recovery of sexual function after robot-assisted laparoscopic radical prostatectomy
WANG Xing,JIN Tongtong,WU Wangjian,LYU Haidi,ZHOU Fenghai. Research progress on recovery of sexual function after robot-assisted laparoscopic radical prostatectomy[J]. Chinese Journal of Robotic Surgery, 2022, 3(3): 194-200. DOI: 10.12180/j.issn.2096-7721.2022.03.005
Authors:WANG Xing  JIN Tongtong  WU Wangjian  LYU Haidi  ZHOU Fenghai
Affiliation:(Department of Urology,Gansu Provincial People’s Hospital,Lanzhou 730000,China;The first Clinical Medical College of Gansu University of Chinese Medicine,Lanzhou 730000,China;The First Clinical Medical College of Lanzhou University,Lanzhou 730000,China)
Abstract:Prostate cancer(PCa) seriously threaten the life and health of elderly men. Radical prostatectomy(RP) is still the main treatment way for local prostate cancer, but surgical traumas and perioperative factors often cause obvious sexual dysfunction after surgery, mainly represented by erectile dysfunction(ED), which contributes to a decrease in quality of life. In recent years, robot-assisted laparoscopic radical prostatectomy(RALP) has made remarkable achievements in RP, such as low postoperative tumor recurrence rate and obvious postoperative preservation of sexual function. Simultaneously, preserving sexual function is related to the protection of vascular nerve bundles. This article aims to provide a new diagnosis and treatment opinion on sexual rehabilitation for PCa by reviewing literatures on sexual function recovery after RARP.
Keywords:Surgical robot  Laparoscope  Radical prostatectomy  Erectile dysfunction  Penile rehabilitation
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